Talent.com
PBTB | Head of Claims
PBTB | Head of ClaimsPrudential BSN Takaful Berhad • Kuala Lumpur, Kuala Lumpur, Malaysia
PBTB | Head of Claims

PBTB | Head of Claims

Prudential BSN Takaful Berhad • Kuala Lumpur, Kuala Lumpur, Malaysia
30+ days ago
Job description

Head of Claims – Prudential BSN Takaful Berhad

Prudential’s purpose is to be partners for every life and protectors for every future. Our purpose encourages everything we do by creating a culture in which diversity is celebrated and inclusion assured, for our people, customers, and partners. We provide a platform for our people to do their best work and make an impact to the business, and we support our people’s career ambitions. We pledge to make Prudential a place where you can Connect, Grow, and Succeed.

Key Responsibilities

Claims Operations

  • Oversee the processing of medical and life insurance claims for individual policies and employee group benefits.
  • Ensure productivity, timely and accurate processing of pay and file claims and cashless guarantee letter admissions.
  • Develop and implement claims management strategies to improve efficiency and customer satisfaction.
  • Develop and maintain staff rosters ensuring optimal coverage and compliance with labor laws.
  • Conduct fraud investigations in a timely and thorough manner.

Team Leadership

  • Lead and manage the claims operations team, including claims processors, investigators, and support staff.
  • Provide training, mentorship, and performance evaluations to team members.
  • Foster a collaborative and high-performance work environment.
  • Operational Excellence

  • Streamline claims processing workflows to enhance productivity and reduce turnaround times.
  • Implement best practices and continuous improvement initiatives in claims operations.
  • Monitor key performance indicators (KPIs) and ensure compliance with regulatory requirements.
  • Customer Services

  • Ensure a customer‑centric approach in all claims handling processes.
  • Address and resolve escalated claims issues and customer complaints.
  • Collaborate with customer service teams to enhance the overall customer experience.
  • Stakeholder Management

  • Collaborate with internal and external stakeholders, including underwriters, brokers, and healthcare providers.
  • Maintain strong relationships with key partners to facilitate smooth claims processing.
  • Represent the claims department in meetings and industry forums.
  • Reporting & Analysis

  • Prepare and present regular reports on claims performance, trends, and areas for improvement.
  • Utilize data analytics to drive decision‑making and strategic planning.
  • Ensure accurate and timely reporting to senior management.
  • Manage the claims budget and ensure cost‑effective operations.
  • Lead project management activities such as system migration, product roll‑out and operations enhancements.
  • Qualifications & Experience

  • Bachelor’s degree in Business Administration, Insurance / Takaful, or a related field.
  • 8‑10 years of experience in operations management, preferably in medical insurance operations, with 5‑10 years in a leadership role.
  • In‑depth knowledge of medical and life insurance claims operations, including pay and file and cashless guarantee letter admissions.
  • Strong leadership and team management skills.
  • Excellent analytical and problem‑solving abilities.
  • Exceptional communication and interpersonal skills.
  • Proficiency in claims management software and data analytics tools.
  • Experience in strategic planning and execution.
  • A commitment to customer service excellence.
  • Financial acumen.
  • Knowledge of compliance and regulatory requirements.
  • Project management experience preferred.
  • Equal Opportunity Employment

    Prudential is an equal opportunity employer. We provide equality of opportunity of benefits for all who apply and who perform work for our organisation irrespective of sex, race, age, ethnic origin, educational, social and cultural background, marital status, pregnancy and maternity, religion or belief, disability or part‑time / fixed‑term work, or any other status protected by applicable law. We encourage the same standards from our recruitment and third‑party suppliers. We also allow for reasonable adjustments to support people with individual physical or mental health requirements.

    Seniority level

  • Executive
  • Employment type

  • Full‑time
  • Job function

  • Sales and Business Development
  • #J-18808-Ljbffr

    Create a job alert for this search

    Head Of • Kuala Lumpur, Kuala Lumpur, Malaysia

    Related jobs
    Head of Financial Lines, Commercial Insurance

    Head of Financial Lines, Commercial Insurance

    Zurich Services Malaysia Sdn. Bhd. • Kuala Lumpur, Kuala Lumpur, Malaysia
    This job is managing the underwriting strategy for financial lines in commercial insurance.You might like this job because it combines leadership with data-driven decision-making and offers opportu...Show more
    Last updated: 30+ days ago • Promoted
    Head of Cash Management Ops Centre (FVP)

    Head of Cash Management Ops Centre (FVP)

    UOB • Kuala Lumpur, Kuala Lumpur, Malaysia
    Head of Cash Management Ops Centre (FVP).United Overseas Bank Limited (UOB) is a leading bank in Asia with a global network of more than 500 branches and offices in 19 countries and territories in ...Show more
    Last updated: 10 days ago • Promoted
    Head Business Operations (Medical Claims)

    Head Business Operations (Medical Claims)

    JonDavidson Pte Ltd • Kuala Lumpur, Kuala Lumpur, Malaysia
    Head Business Operations (Medical Claims).Add expected salary to your profile for insights.A Healthcare Insurance Delivery Lead is responsible for overseeing the successful delivery of.This role in...Show more
    Last updated: 30+ days ago • Promoted
    Head of Service Assurance

    Head of Service Assurance

    Maxis • Kuala Lumpur, Kuala Lumpur, Malaysia
    Maxis Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia.Are you ready to get ahead in your career?.We want to empower you to turn your ambitions into achievements.We thrive in inclusiveness...Show more
    Last updated: 30+ days ago • Promoted
    Team Head, Privilege Banking

    Team Head, Privilege Banking

    United Overseas Bank • Puchong, Selangor, Malaysia
    Team Head, Privilege Banking page is loaded## Team Head, Privilege Bankingremote type : Hybridlocations : Puchong (City Area)time type : Full timeposted on : Posted Todayjob requisition id : J...Show more
    Last updated: 7 days ago • Promoted
    Head of Bidding, Commerce & Business Division

    Head of Bidding, Commerce & Business Division

    Perusahaan Otomobil Nasional Sdn Bhd (PROTON) • Subang Jaya, Selangor, Malaysia
    Head of Bidding, Commerce & Business Division.Manage and coordinate the end‑to‑end tender process, including the preparation, submission, and evaluation of tenders, to ensure timely and high‑qualit...Show more
    Last updated: 17 hours ago • Promoted • New!
    Claims Procurement Lead, Asia

    Claims Procurement Lead, Asia

    QBE Insurance Group • Petaling Jaya, Selangor, Malaysia
    Claims Procurement Lead, Asia page is loaded## Claims Procurement Lead, Asialocations : Petaling Jaya, Malaysiatime type : Full timeposted on : Posted Todaytime left to apply : End Date : Decemb...Show more
    Last updated: 8 days ago • Promoted
    Claims Procurement Lead, Asia

    Claims Procurement Lead, Asia

    QBE Europe • Petaling Jaya, Selangor, Malaysia
    As a cross-functional role, this role reports to the Senior Manager of Operational Risk, Resilience & Procurement, with the goal to be a trusted commercial business partner that enables QBE to obta...Show more
    Last updated: 7 days ago • Promoted
    Head of Claims

    Head of Claims

    Businesslist • Kuala Lumpur, Kuala Lumpur, Malaysia
    Oversee terminal claims processing to ensure accuracy and timeliness.Develop and implement claims handling policies and procedures. Monitor compliance with industry regulations and company guideline...Show more
    Last updated: 30+ days ago • Promoted
    Head of Dealing

    Head of Dealing

    NEXT Ventures • Kuala Lumpur, Kuala Lumpur, Malaysia
    Head of Dealing at NEXT Ventures.NEXT Ventures Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia.We are where ambition takes shape and movement becomes momentum. As a global platform revolut...Show more
    Last updated: 15 hours ago • Promoted • New!
    FVP, Unit Head, Ops Governance & Assurance

    FVP, Unit Head, Ops Governance & Assurance

    UOB • Kuala Lumpur, Kuala Lumpur, Malaysia
    FVP, Unit Head, Ops Governance & Assurance.FVP, Unit Head, Ops Governance & Assurance.Be among the first 25 applicants.United Overseas Bank Limited (UOB) is a leading bank in Asia with a global net...Show more
    Last updated: 17 hours ago • Promoted • New!
    Senior Claims Executive

    Senior Claims Executive

    Sperton Global AS • Petaling Jaya, Selangor, Malaysia
    Handle complex or high-value claims, providing in-depth analysis and investigation as necessary.Review and approve claims processed by junior staff, ensuring accuracy and adherence to company polic...Show more
    Last updated: 30+ days ago • Promoted
    Head of Category (Health)

    Head of Category (Health)

    Guardian Malaysia • Petaling Jaya, Selangor, Malaysia
    Lead the end-to-end commercial strategy for a major department (e.Cosmetic, Skincare, Health, Personal Care), driving sales, margin, and customer relevance through data-led decisions and supplier p...Show more
    Last updated: 30+ days ago • Promoted
    Head of Financial Lines, Commercial Insurance

    Head of Financial Lines, Commercial Insurance

    Zurich 56 Company Ltd • Kuala Lumpur, Kuala Lumpur, Malaysia
    Head of Financial Lines, Commercial Insurance.The Line(s) of Business Underwriting Manager leads, drives and is accountable for the underwriting strategy and performance of (a) specific line(s) of ...Show more
    Last updated: 30+ days ago • Promoted
    Head of Claims Operations & Strategy

    Head of Claims Operations & Strategy

    Prudential BSN Takaful Berhad • Kuala Lumpur, Kuala Lumpur, Malaysia
    A leading insurance provider in Kuala Lumpur is seeking a Head of Claims to oversee medical and life insurance claims operations. This role requires strong leadership, strategic planning, and a cust...Show more
    Last updated: 4 days ago • Promoted
    Head of Partnerships & Growth - Fintech / Insurance

    Head of Partnerships & Growth - Fintech / Insurance

    PolicyStreet • Kuala Lumpur, Kuala Lumpur, Malaysia
    A leading insurance technology firm in Kuala Lumpur is seeking a Partnership Manager to lead a team in securing new partnerships and negotiating high-value deals. The ideal candidate will have over ...Show more
    Last updated: 9 days ago • Promoted
    Head of Client Advisory - Privilege Banking

    Head of Client Advisory - Privilege Banking

    UOB • SelangorMalaysia, Selangor, Malaysia
    A leading bank in Asia located in Malaysia is seeking a team leader for Client Advisors.The successful candidate will manage a team, drive sales for various banking products, and ensure compliance ...Show more
    Last updated: 3 days ago • Promoted
    Head of Dealing : Trading Ops & Liquidity Lead

    Head of Dealing : Trading Ops & Liquidity Lead

    NEXT Ventures • Kuala Lumpur, Kuala Lumpur, Malaysia
    A global fintech platform in Kuala Lumpur seeks a Head of Dealing to lead trading and risk operations.The role involves managing multi-book strategies, ensuring system stability, and collaborating ...Show more
    Last updated: 17 hours ago • Promoted • New!